PL-13-2473�',.��\✓,uj _tet'
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Falx: (305)756-9972
Inspection Number. INSP-207390 Permit Number: PL -10-13-2473
Scheduled Inspection Date: March 25, 2014 Permit Type: Plumbing - Residential
Inspector. Diaz, Osvaldo Inspection Type: Final
Owner: FABRICIO M DE FREITAS, MARCIA H Work Classification: Addition/Alteration
WORM
Job Address: 80 NW 92 Street
Miami Shores, FL 33150- Phone Number
Parcel Number 1131010160090
Project: <NONE>
Contractor: BLESSING PLUMBING INC
comments
KITCHEN AND 2 BATH REMODEL, WATER HEATER ""'°""" r000o"
CHANGE OUT INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-202306. trap connection at lays
not per code
Failed
Correction
Needed ❑ ( >°LS
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee Is paid
March 24, 2014 For Inspections please call: (305)762.4949 Page 13 of 36
Miami Shores Village
Building Department
10050 N.E2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 7952204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
Permit Type: PLUMBING
FBC 20 LD
Permit No. �� —aLj
Master Permit No. R -C4 3-2yl 1
JOB ADDRESS: �76) A �i Ct ;? _ /f� A
City: Mismi Shores County: _ mi Dade zip:
a .y
Is the Building Historically Designated: Yes 4NO Flood Zone:
OWNER Name (Fee Simple Titleholder):Phone#:
... 2 ,, 4l c
City: I\; , fl� �, C d)�i�� j i State: a Zip:
Tenant/I.essee Name: Phone#:
CONTRACTOR: Company Name:
Address: _r, 3 2 Nv
City:
Qualifier Name: Phone#:% v p
State Certification or Registration #: ceracaft of Competency #. t
Contact Phones: 6 1 Email Address:jj Vtot
DESIGNER: Arc - eer. I
hone#, .
Value of Work for this permit: $_ o ®• b , Sgnare/Liaear Footage of work.. -
Type of Work;, QAddress, DAlteration ONew ORepair/Replace ODemolition
Descriptionof Work: ujf w KeS 1,:-t t&jo ®l L I . t , L --,'6'-LJ--'-' I ► .
SAL
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arts
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Submittal
----------Submittal Fee $ Permit Fee $_ /.s d CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ TraininglEducation Fee $ Technology Fee $
Doable Fee $ Stmchural fie, $
TOTAL FEE NOW DUE
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no -work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws. regulating
constriction in this jurisdiction. I understand that a, separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
HAPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will t be approved and a reinspection fee will be charged.
f
Signature !� Signature °
Owner or Agent
The foregoing instrument was acknowledged before me this
day of C 20 0 by NgQc f �; 4 6
who is y known me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: ,1—a C4h11JC.;S
M Commission a Cd1AAiLA A CHAVES
Y �. MY COMMI$SJON # EE012889
EXPIRES July 29, 2014
The foregoing instrument was acknowledged before me this i�
day of 20L�, by O C kS -
who is personally known to me or who had produced
:Dd = L�s-Sas identification and who did take an oath.
APPROVED BY Pyr -> i -t3 Plans Examiner
Structural Review
(RevinD1122012)(Revised 07/10107XRevised 06110/2009)Wnised 3/15/09)
NOTARY.
Sign:
Print:
M Commission
Y t EXPIRES: Apra 12, 2a17
�'�O ceded firo N&Y SCAM
Clerk